In January 2021, Surrey Heartlands Clinical Commissioning Group was successful in a bid to NHS England to become a pioneer site for primary care redesign of estates and services.
The ambition for this programme is to build community-based facilities, designed in line with sustainability goals, considering not just health and social care needs, but also economic and environmental factors such as green spaces, housing and reducing pollution. In addition, these centres will improve the way primary care estates are managed by the NHS. This means a model that is owned and controlled by the wider health and care system, rather than the onus being on individual GP partners.
The NHS England GP Forward View which was published in April 2016, assessed the future requirements for sustainable primary care (further detail in foot notes).
The chosen location for this redesign is Staines-upon-Thames in North West Surrey to be delivered through the North West Surrey Health and Care Alliance.
On this page you will find information on:
- Securing GP primary care services for the future
- What the proposed centre will do
- Engagement with local stakeholders
- Why Oast House?
- Where we are now and what the future plans are
- A series of frequently asked questions
Securing GP primary care services for the future
One of the main drivers for the development of this centre is a need to secure premises for three existing GP practices, which are housed in Staines Health Centre alongside community services for adults and children provided by CSH Surrey.
- Knowle Green Medical
- Staines Health Group
- Hythe Practice (Branch)
The health centre building is nearing the end of its original service life and is too small for the existing patient lists. In addition, the Spelthorne local plan includes significant new housing development that would increase patient lists by a further 35% within the next decade.
What will the proposed centre do?
- Boost out-of-hospital care, and aid in dissolving the historic divide between primary and community health services
- Bring together different professionals to coordinate care better
- Give people more control over their own health and care
- Encourage more collaboration amongst health and care partners to develop appropriate services for local people
- Provide an innovative space for current health and care staff to work together to address the wider determinants of health
- Attract students and those in training to join the health and care workforce by providing a vibrant, holistic workplace
- Getting the most out of taxpayers’ investment in the NHS
- Accelerating estates transformation and making best use of the NHS estate
Engagement with local stakeholders
Between January and March 2021, meetings and conversations took place with over 90 individuals from Spelthorne Borough Council, Surrey County Council, GPs and health partners, local voluntary, community and faith sector organisations and local residents. They were asked to consider the following:
A list of principles emerged from these conversations:
- Create integrated, joined up, working relationships and culture, going beyond co-location of services and organisations
- Build a joined up entrepreneurial culture between people
- New buildings alone don’t transform culture – other things need to happen.
- Culture and approach, it’s not ‘what’s the matter with people, it’s what matters to them’
- It’s not ‘top down’ or ‘bottom up’ but an ‘inside out’ approach
- Find local champions in Staines to make a success of the programme
Since then, a Strategic Case for Change was signed up to by all partners and an Outline Business Case (OBC) has been approved. A Full Business Case is now in development. This process requires seeking and gaining planning permission for the preferred site, wide stakeholder engagement, financial approval etc. In partnership with Spelthorne Borough Council, the Full Business Case will require final approval from the CCG and NHS England.
Why Oast House?
- site A - the current Staines Health Centre site and
- site E - the Oast House site.
More detailed analysis took place which led to the Oast House site being selected as the preferred option.
The current Staines Health Centre site was not selected as the preferred site due to:
- Risk of flooding (zone 3a and 3b) and therefore highly likely that planning permission will not be granted
- Massing of new building required within residential area
- Limited access for construction
The area surrounding the Oast House site is undergoing regeneration and there are proposals for a new cultural centre and affordable housing. It is well connected to bus and train services as well as cycle routes.
The design of the proposed health and wellbeing centre will enable co-location of GP surgeries, community therapy services for children, mental health services and antenatal & post-natal care alongside voluntary organisations that offer advice and support on a wide range of issues that can impact upon health and wellbeing e.g. debt advice.
The affordable housing that would be built alongside the health and wellbeing centre, to accommodate the growing population of Staines, will attract a wide range of people with a wide range of needs. There will also be opportunities for local businesses to engage with local people. Having a flexible space that supports health and wellbeing on the same footprint will ensure these needs can be met. How the space that is additional to essential health care services is used will evolve over time.
Where are we now and what is the future plan?
In March 2022 North West Surrey Health and Care Alliance in partnership with Spelthorne Borough Council launched a survey to gather views on health and wellbeing from residents in Spelthorne. The findings of the survey will enable the Alliance and Spelthorne Borough Council to understand what is important to Spelthorne residents which will help in future planning of services.
The NHS England GP Forward View promised more investment in technology and estates and the introduction of new ways of working. This included using more pharmacists, paramedics and physician associates to support the work of GPs and help patients to access healthcare in a more effective manner.
Update following Spelthorne Borough Council on Thursday 28th April 2022
Jack Wagstaff, Chief Officer from North West Surrey Health and Care Alliance and Dr Mohsin Salahuddin, GP Partner from The Hythe Medical Centre in Staines both spoke at the public meeting of Spelthorne Borough Council on Thursday 28th April to discuss the plans for the proposed new Staines Health and Wellbeing Centre.
It was a positive meeting and well done to everyone involved. Mr Wagstaff and Dr Salahuddin answered questions from Councillors and there was an in-depth discussion resulting in members approving the proposed community health and well-being centre and the residential housing at the Oast House site.
There will be further steps in the process and later this year, we will attend the Planning Committee meeting.
People will have the opportunity to have input soon. If you would like to watch the discussion, this item from 7.50pm - 9.40pm (or about 50 minutes in to the stream for 1hr.50mins on our YouTube channel).
Please find the link to the agenda for the meeting (item 11).
Frequently Asked Questions
Staines-upon-Thames, also known as Staines, is a town in the borough of Spelthorne situated on the left bank of the Thames with a population of 99,844. Spelthorne is the most deprived borough in Surrey and people living there have reported feeling it has been left behind.
The regeneration of Staines town centre is a key priority for the local authority. The planned new housing in the local area will further increase demand for GP and community space by a forecast 10,000 extra patients. The current GP and community premises are in a poor condition, too small and not able to accommodate any expansion.
It was therefore clear that the Alliance would put forward Staines as a priority area when the bid to become a pioneer site was submitted to NHS England.
As with many other parts of Surrey, people living in Staines are generally healthier than those living in other parts of the country but there are disparities. Key indicators of health and wellbeing are worse in Spelthorne compared to elsewhere in Surrey:
- 18.6% of the Staines population smoke versus 12.2% in Elmbridge.
- The number of adults averaging 50-plus minutes of exercise per week is 54% in Spelthorne, the lowest of all boroughs and districts in Surrey. The average for Surrey is 62%.
- 38% of people in Spelthorne report walking 10 minutes per day on five days per week, which is significantly lower than England (50.6%) and Surrey as a whole (49%).
- 50% adults in Spelthorne report eating the recommended five portions per day of fruit and vegetables compared to the Surrey average of 57%.
- The percentage of adults classified as having excess weight in North West Surrey is highest in Spelthorne at 63%.
- Four Food Banks are available through local need.
What is North West Surrey Health and Care Alliance?
There are four place-based partnerships, known as Alliances, in Surrey Heartlands:
- East Surrey Place-based Partnership (PBP)
- North West Surrey PBP
- Guildford and Waverley PBP
- Surrey Downs PBP
These Alliances or partnerships, which generally cover populations of between 250,000 and 300,000, bring together local NHS organisations, local authorities and voluntary, community and faith sector organisations to pool their collective resources and expertise to address the wider determinants of health for the ultimate benefit of local people.
North West Surrey Health and Care Alliance covers the boroughs of Runnymede, Spelthorne, Woking and parts of Elmbridge.
What type of NHS / community services will be working out of the centre?
In addition to the three GP Practices there will be a range of services such as:
- Three Primary Care Networks
- Childrens services
- Adults services
- Ultrasound, Paediatric Outreach, Maternity Hub (anti & post natal, feeding support etc), MDT/GP Hub Clinics
- Mental Health Support/Safe haven (adults)
- Community Dentistry
- Citizens Advice Bureau
- Other Wellbeing Services – Active Surrey, Community Kitchen, Centre Café, Voluntary Support North Surrey, North Surrey Domestic Abuse Service